Organization
CARDIOPULMONARY SURGICAL CONSULTANTS PC
Active
Other names
CVT Surgery Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKIE LYNN CUNNINGHAM (BILLING COORDINATOR)
(423) 929-7393
Entity
Organization
Contact information
Practice address
310 N STATE OF FRANKLIN RD, STE 101, JOHNSON CITY, TN 37604
(423) 929-7393
(423) 929-1427
Mailing address
310 N STATE OF FRANKLIN RD, STE 101, JOHNSON CITY, TN 37604
(423) 929-7393
(423) 929-1427
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3706826
—
TN
Enumeration date
03/27/2006
Last updated
08/22/2020
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